A client has presented to an ambulatory clinic complaining of a persistent headache. What assessments should the clinician conduct to differentiate between rhinosinusitis and alternative health problems?
A) Take a sputum sample for culture and sensitivity.
B) Compare the client's oral, tympanic, and axillary temperatures and order a white blood cell count.
C) Palpate the client's lymph nodes and inspect the ears with an otoscope.
D) Perform transillumination and ask the client if bending forward exacerbates the headache.
Ans: D
Feedback:
Transillumination is performed to confirm or rule out sinusitis, and sinusitis headache usually is exaggerated by bending forward, coughing, or sneezing. The other cited assessments do not differentiate between rhinosinusitis and other health problems.
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